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Questions and Answers

Which of the following is the most common genitourinary disease of childhood?

  • Obstructive uropathy
  • Urethral instrumentation
  • Urinary tract infection (correct)
  • Vesicoureteral reflux

What is the prevalence of UTI in girls?

  • 1-3% (correct)
  • 4%
  • 1%
  • 10%

What is the prevalence of UTI in boys?

  • 10%
  • 4%
  • 1-3%
  • 1% (correct)

What is the male to female ratio of UTI in children below 1 year?

<p>4:1 (D)</p> Signup and view all the answers

What is the male to female ratio of UTI in children after 1 year?

<p>1:10 (D)</p> Signup and view all the answers

Which of the following is the main cause of UTI?

<p>E coli (B)</p> Signup and view all the answers

Which of the following is a risk factor for UTI?

<p>Female gender (D)</p> Signup and view all the answers

Which of the following is a clinical manifestation of UTI in neonates?

<p>All of the above (D)</p> Signup and view all the answers

Which age group usually has non-urinary tract manifestations of UTI?

<p>Infants (1 month - 2 years) (A)</p> Signup and view all the answers

What is the most common bacterial cause of UTI in children?

<p>E coli (D)</p> Signup and view all the answers

Which age group is most commonly affected by urgency, frequency, abdominal or flank pain in UTI?

<p>6-18 years old (C)</p> Signup and view all the answers

What are the classic signs of UTI in a 2-6 years old child?

<p>Urgency, dysuria, frequency, and abdominal pain (C)</p> Signup and view all the answers

Which type of UTI is clinically manifested as abdominal or flank pain, fever, malaise, nausea, vomiting, and occasionally diarrhea?

<p>Pyelonephritis (D)</p> Signup and view all the answers

What is the most common type of UTI in girls?

<p>Asymptomatic Bacteriuria (B)</p> Signup and view all the answers

What are the complications of chronic recurrent UTI?

<p>All of the above (D)</p> Signup and view all the answers

What are the methods for collecting urine samples in toilet-trained children?

<p>Midstream urine sample (A)</p> Signup and view all the answers

What is the recommended method for collecting urine samples in children aged 2-24 months?

<p>Catheterized urine sample (A)</p> Signup and view all the answers

What does pyuria (leukocytes on urine microscopy) suggest?

<p>All of the above (D)</p> Signup and view all the answers

What is the criteria for considering a child to have a UTI based on urine culture results?

<p>All of the above (D)</p> Signup and view all the answers

When should blood cultures be drawn in UTI cases?

<p>Before starting antibiotics (A)</p> Signup and view all the answers

Which of the following is a recommended timing for VCUG (Voiding Cystourethrogram) in patients with UTI?

<p>2-6 weeks after discharge (A)</p> Signup and view all the answers

Which imaging technique is used to detect renal scars that usually develop after severe or recurrent upper UTI?

<p>Renal scanning using DMSA (A)</p> Signup and view all the answers

Which antibiotics are effective against many strains of E. coli in the treatment of acute cystitis?

<p>Trimethoprim-sulfamethoxazole (TMP-SMX) or trimethoprim (A)</p> Signup and view all the answers

In the treatment of acute pyelonephritis, which of the following is preferable?

<p>Ceftriaxone with aminoglycoside (A)</p> Signup and view all the answers

Which of the following is a recommended treatment for UTI in children with urosepsis or complicated infection?

<p>Ceftriaxone (C)</p> Signup and view all the answers

What is the purpose of a urine culture 1 week after the termination of treatment of a UTI?

<p>To ensure that the urine is sterile (A)</p> Signup and view all the answers

Which condition might benefit from long-term prophylaxis to prevent recurrent UTIs?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following medications can increase the efficacy of aminoglycosides in the urinary tract?

<p>Sodium bicarbonate (A)</p> Signup and view all the answers

What additional treatment might be required for children with renal or perirenal abscess or infection in obstructed urinary tracts?

<p>Surgical drainage (D)</p> Signup and view all the answers

Which of the following factors may indicate an atypical UTI in a seriously ill child?

<p>All of the above (D)</p> Signup and view all the answers

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